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Contact Information

DOUGLAS MESKE, LCSW
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI53188
 Phone: 262-313-8339
 Fax: 262-910-1653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DOUGLAS MESKE · (Male)

NPI Number 1104975341
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/09/2007
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2098123
  • WI Medicaid 39592600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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